A 6-month-old girl was seen in the emergency department because her mother had noticed a yellow, sticky discharge from the baby's left eye. On questioning, the mother said that she had first noticed the condition that morning when her daughter woke up. She also said that she had noticed that her daughter's left eye watered excessively when she cried ever since birth. The physician confirmed the epiphora of the left eye and noted the emergence of yellow pus into the lacus lacrimalis from the puncta when gentle pressure was exerted over the medial palpebral ligament. What is the diagnosis? What is the most likely cause in a child of this age? What are the posterior relations of the medial palpebral ligament? Describe the anatomy of the drainage passages of the conjunctival sac and give the direction of each of the tubes.
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